Treatments for Hemothorax
Treatments for Hemothorax
The list of treatments mentioned in various sources
for Hemothorax
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Latest treatments for Hemothorax:
The following are some of the latest treatments for Hemothorax:
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Chest expansion, asymmetrical:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If you detect asymmetrical chest expansion, first consider traumatic injury to the patient's ribs or sternum, which can cause flail chest, a life-threatening emergency characterized by paradoxical chest movement. Quickly take the patient's vital signs and look for signs of acute respiratory distress — rapid and shallow respirations, tachycardia, and cyanosis. Use tape or sandbags to temporarily splint the unstable flail segment.
Depending on the severity of respiratory distress, administer oxygen by nasal cannula, mask, or mechanical ventilator. Insert an I.V. line to allow fluid replacement and administration of pain medication. Draw a blood sample from the patient for arterial blood gas analysis, and connect the patient to a cardiac monitor.
Although asymmetrical chest expansion may result from hemothorax, tension pneumothorax, bronchial obstruction, and other life-threatening causes, it isn't a cardinal sign of these disorders. Because any form of asymmetrical chest expansion can compromise the patient's respiratory status, don't leave the patient unattended, and be alert for signs of respiratory distress.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Hemothorax:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment is designed to stabilize the patient’s condition, stop the bleeding, evacuate blood from the pleural space, and re-expand the underlying lung. Mild hemothorax usually clears in 10 to 14 days, requiring only observation for further bleeding. In severe hemothorax, thoracentesis not only serves as a diagnostic tool but also removes fluid from the pleural cavity.
After the diagnosis is confirmed, a chest tube is inserted into the sixth intercostal space at the posterior axillary line. Suction may be used; a large-bore tube is used to prevent clot blockage. If the chest tube doesn’t improve the patient’s condition, he may need a thoracotomy to evacuate blood and clots and to control bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Chest expansion, asymmetrical:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you detect asymmetrical chest expansion, first consider traumatic injury to the patient’s ribs or sternum, which can cause flail chest, a life-threatening emergency characterized by paradoxical chest movement. Quickly take the patient’s vital signs and look for signs of acute respiratory distress—rapid and shallow respirations, tachycardia, and cyanosis. Use tape or sandbags to temporarily splint the unstable flail segment.
Depending on the severity of respiratory distress, administer oxygen by nasal cannula, mask, or mechanical ventilator. Insert an I.V. line to allow fluid replacement and administration of pain medication. Draw a blood sample from the patient for arterial blood gas analysis, and connect the patient to a cardiac monitor.
Although asymmetrical chest expansion may result from hemothorax, tension pneumothorax, bronchial obstruction, and other life-threatening causes, it isn’t a cardinal sign of these disorders. Because any form of asymmetrical chest expansion can compromise the patient’s respiratory status, don’t leave the patient unattended, and be alert for signs of respiratory distress.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Hemothorax:
Treatment
(Handbook of Diseases)
Effective treatment stabilizes the patient’s condition, stops the bleeding, evacuates blood from the pleural space, and reexpands the underlying lung. Mild hemothorax usually clears rapidly in 10 to 14 days, requiring only observation for further bleeding.
In severe hemothorax, thoracentesis serves not only as a diagnostic tool but also as a method of removing fluid from the pleural cavity.
After the diagnosis is confirmed, a chest tube is inserted into the sixth intercostal space at the posterior axillary line. Suction may be used; a large-bore tube is used to prevent clot blockage. If the chest tube doesn’t improve the patient’s condition, he may need a thoracotomy to evacuate blood and clots and to control bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Chest expansion, asymmetrical:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Because asymmetrical chest expansion increases the work of breathing, supplemental oxygen is usually given during acute events. Assess the patient’s respiratory status frequently.
If the patient is intubated, regularly auscultate breath sounds in the lung peripheries to ensure equal ventilation. Maintain the ventilator settings and alarms, as ordered.
Patient teaching
Explain all procedures and tests, especially if the patient is intubated. Teach the patient and his family early signs of infection.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Chest expansion, asymmetrical:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If you detect asymmetrical chest expansion, first consider traumatic injury to the patient’s ribs or sternum, which can cause flail chest, a life-threatening emergency characterized by paradoxical chest movement. Quickly take the patient’s vital signs and look for signs of acute respiratory distress — rapid and shallow respirations, tachycardia, and cyanosis. Use tape or sandbags to temporarily splint the unstable flail segment.
Depending on the severity of respiratory distress, administer oxygen by nasal cannula, mask, or mechanical ventilator. Insert an I.V. line to allow fluid replacement and administration of pain medication. Draw a blood sample from the patient for arterial blood gas analysis, and connect the patient to a cardiac monitor. Don’t leave the patient unattended, and be alert for signs of respiratory distress.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Chest expansion, asymmetrical:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If you're caring for an intubated patient, regularly auscultate breath sounds in the lung peripheries to help detect a misplaced ET tube.
▪ If you detect a misplaced ET tube, prepare the patient for a chest X-ray to allow rapid repositioning of the tube.
▪ Because asymmetrical chest expansion increases the work of breathing, supplemental oxygen is usually given during acute events.
▪ If the patient is acutely hypoxic, prepare him for ET intubation.
Patient teaching
▪ Teach the patient to recognize early signs and symptoms of respiratory distress.
▪ Encourage coughing and deep-breathing exercises to promote oxygenation.
▪ With flail chest, show the patient how to splint his chest so he can perform breathing exercises more effectively.
▪ Teach the patient techniques that can help reduce anxiety.
▪ Once the patient is stable, explain the cause of his respiratory distress and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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